Young adults face major barriers to seeking help from mental health services

Vanheusden, Kathleen; Mulder, Cornelis L.; Ende, Jan van der; Lenthe, Frank J. van; Mackenbach, Johan P.; Verhulst, Frank C.

doi:10.1016/j.pec.2008.05.006

Cited by 121 publications

(114 citation statements)

References 38 publications

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“…On the whole, the mental health literacy level among Chinese adults was not high [18][19][20][21]. For adolescents, studies on the MHL are far less in comparison to the adult population [22][23][24][25][26][27][28][29][30][31][32]. Among the studies on the MHL of adolescents in the last decade, most were conducted in older adolescents [26][27][28][29], such as university students, student nurses, and rural young people [30][31][32][33].…”

Section: Introductionmentioning

confidence: 99%

“…For adolescents, studies on the MHL are far less in comparison to the adult population [22][23][24][25][26][27][28][29][30][31][32]. Among the studies on the MHL of adolescents in the last decade, most were conducted in older adolescents [26][27][28][29], such as university students, student nurses, and rural young people [30][31][32][33]. Some studies involved both younger and older adolescents [22][23][24][25], but very few were found on the MHL of younger adolescents in junior and senior high schools [23].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies involved both younger and older adolescents [22][23][24][25], but very few were found on the MHL of younger adolescents in junior and senior high schools [23]. The majority of these studies mainly concentrated on the assessment of the mental health literacy level and the associated characteristics such as attitudes towards help seeking and stigmatisation [22][23][24][25][26][27]32,33].…”

Section: Introductionmentioning

confidence: 99%

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Mental health literacy and mental health status in adolescents: a population-based survey

Lam

2014

Child Adolesc Psychiatry Ment Health

136

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Background: This study aims to investigate the association between mental health literacy and the mental health status, particularly depression, among adolescents. Methods: This was a population-based health survey utilising a two-stage sampling technique. Mental health literacy was measured by the Australian National Mental Health Literacy and Stigma Youth Survey with the depression vignette only. Depression was assessed by the Depression sub-scale of the Depression, Anxiety, Stress Scale. Data were analysed using multiple logistic regression modelling techniques with adjustment for cluster sampling effect. Results: A total of 1678 students responded to the survey providing usable information. Only 275 (16.4%) respondents were classified as having an adequate mental health literacy level with correct identification of depression and also intended to seek help, with 392 (23.4%) of the total sample correctly identified the vignette as depression. Two hundred and forty eight (14.8%) were classified to have moderate to severe depression. Multiple logistic regression analysis results suggested that young people who had experienced moderate to severe level of depression in the week prior to the survey were more likely to have an inadequate level of MHL (OR = 1.52, 95% C.I. = 1.01-2.31) after adjusting for a potential confounding factors and cluster sampling effects. Conclusions: Results suggested that mental health literacy level was associated with mental health status, particularly depression of young people. The results have important implications, both clinically and on a population level, on the prevention of mental health problems and for the improvement of the mental health status of adolescents.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mental health literacy and mental health status in adolescents: a population-based survey

Lam

2014

Child Adolesc Psychiatry Ment Health

136

120

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“…This is particularly important given that the literature has shown that males are less likely to seek help 9,28 and that they may experience different types of barriers compared with females.…”

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confidence: 99%

Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey

2016

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“…Adolescents interviewed about their expectations and preferences concerning online interventions for mental health have expressed that the discretion of online support is a great advantage (Bradley, Robinson & Brannen, 2012;Sindahl, 2013;World Childhood Foundation, 2012). This is important, given that limited mental health literacy, stigma and fear of others knowing about one's mental illness is especially prevalent among young people and hamper help-seeking (e.g., Coles et al, 2016;Gulliver et al, 2010;Melas, Tartani, Forsner, Edhborg & Forsell, 2013;Vanheusden et al, 2008). However, as previously mentioned, adolescents have also been found not to complete self-help ICBT, and comments about non-completion concern the need to talk to someone, not to go through a program (e.g., Lillevoll, Vangberg, Griffiths, Waterloo & Eisemann, 2014).…”

Section: Clinical Effect and Attritionmentioning

confidence: 99%

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

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Depression is the most burdensome disorder worldwide in terms of health loss. The potential of internet and technologies to scale up psychological treatment resources is substantial. A blended treatment approach, reducing therapist time and combining sessions with online self-help components, could enhance availability of psychological treatment, while maintaining and possibly enhancing effect of treatment. The aim of this thesis was to develop and investigate the blended treatment approach, in terms of acceptance among key stakeholders, and clinical effect in treatment of depression in the adult and adolescent population.Study I investigated acceptance of the blended treatment approach among mental health care stakeholders by means of a European survey. The results demonstrated that the majority readily accepted blended treatment for management of mild and moderate depression.Study II evaluated blended treatment compared to standard face-toface psychotherapy in treatment of adult depression in a controlled non-inferiority trial. The results showed a similar decrease in depression from both interventions at post-treatment, with decreased levels maintained over six months. Non-inferiority for the blended treatment could not be statistically established.Study III was a controlled non-inferiority trial evaluating blended treatment compared to treatment as usual. The results indicated superiority for the blended treatment at post-treatment and partly at six months. After twelve months the outcomes in the two conditions were similar.Study IV evaluated blended treatment for adolescent depression in a controlled superiority trial, where the therapist time was not reduced, but sessions delivered via chat for improved reach and efficiency. Compared to attention control, the blended treatment significantly reduced depression symptoms, with effects indicated to be maintained over six months.Study V was a controlled superiority trial, evaluating an improved version of the blended treatment used in Study IV to similar methods and in a similar population. In comparison to minimal attention control, the blended treatment significantly reduced depression symptoms at post-treatment, corresponding to a large treatment effect.Across Study II to V, estimates indicated that the amount of therapist time that could be saved in blended treatment, compared to standard psychological treatment, was around 40%.In conclusion, a gradual, blended integration of technology into psychological treatment i) performed well in treatment of adult and adolescent populations, ii) could substantially reduce therapist time in comparison to standard face-to-face psychological treatment, and iii) was accepted by patients as well as other mental health care stakeholders.The thesis demonstrates the potentials of technology-assisted blended treatment models to deliver treatment of depression in the young and adult population in accordance with the current, urgent need to increase availability of psychological treatment as well as increase acceptance ...

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Young adults face major barriers to seeking help from mental health services

Cited by 121 publications

References 38 publications

Mental health literacy and mental health status in adolescents: a population-based survey

Mental health literacy and mental health status in adolescents: a population-based survey

Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey

Blended cognitive behavior therapy : efficacy and acceptability for treating depression in the adult and adolescent population

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